HomeMy WebLinkAbout01-08-10,r.rl r "v'NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~^~^" ~ ;pPpi2A~SEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION _: O~,,nEf}UCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 ~' ;., '`, ~,~ '` 'JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-0601
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NEWBURG PA 17240
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DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-09)
DATE 12-21-2009
ESTATE OF SHARPE MERLE
DATE OF DEATH 11-29-2008
FILE NUMBER 21 09-0080
COUNTY CUMBERLAND
SSN/DC 160-12-5681
ACN 09104450
APPEAL DATE: 02-19-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
T0:
R
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ________________
REV-1548 EX AFP C12-09~
NOTICE OF INHERITANCE TAX ~-~FRTAXEONNJOINTLYWHELD OR TRUSTLASSETS OF
DEDUCTIONS, AND ASSESSMENT DATE: - 1- 00
ESTATE OF: SHARPE MERLE R DATE OF DEATH: 11-29-2008 COUNTY: CUMBERLAND
ACN: 09104450
FILE NO.: 21 09-0080 S.S/D.C. NO.: 160-12-5681
TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 50771841
FINANCIAL INSTITUTION: AMERISERV FINANCIAL
~X) CHECKING C )TRUST ( )TIME CERTIFICATE
TYPE OF ACCOUNT: C )SAVINGS
DATE ESTABLISHED 07-21-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
6,667.75
X 0.166
1,111.31
_ .00
1.111.31
.00
.00
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
DISCOUNT ~+)
INTEREST/PEN PAID (-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
* IF TOTALADUERISHREFLECTEDSAS AE°CREDITOR(CCR~ULYTOUOMAYFBEDDUEIANREFUNDEREST.
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